TY 2019 Form 990EZ

Form990EZ

Department of the Treasury
Internal Revenue Service

Short Form
Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Do not enter social security numbers on this form as it may be made public.

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-1150

2019

Open to Public
Inspection

Check if applicable:

Address change

Name change

Initial return

Final return/terminated

Amended return

Application pending

C Name of organization
New Jersey State Firemens
Association - Rutherford

Number and street (or P. O. box, if mail is not delivered to street address)C/O 126 Vanderburgh Avenue
Room/suite

City or town, state or province, country, and ZIP or foreign postal code Rutherford, NJ07070

D Employer identification number

23-7081846

E Telephone number

F Group Exemption
Number bullet

3118

Part ⅢStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? The primary exempt purpose of the Rutherford Firemen's Relief Association is to provide financial relief to active and retired members of the Rutherford Volunteer Fire Department. The relief is provided to those members and their families who file an application for such assistance and demonstrate the need for relief. The money from the organization is derived from the New Jersey State Firemen's Association, which in turn receives funds from a levy on all fire insurance premiums written by insurance companies chartered outside the State of New Jersey.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 The Organization provided relief to five (5) qualified applications, totaling $13,750. The relief payments assisted those qualified applicants with medical bills and day-to-day living expenses due to lost wages from injury, sickness or other indigence. (Grants $ 13,750) If this amount includes foreign grants, check here ...			28a
29 (Grants $ ) If this amount includes foreign grants, check here ...			29a
30 (Grants $ ) If this amount includes foreign grants, check here ...			30a
31 Other program services (describe in Schedule O) ................ (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32	13,750

(a) Name and title	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC) (if not paid, enter -0-)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
Mark Harrison President	0	595
Mark Gentile Vice President	0	225
William Rood Secretary	0	1,000
Robert F Ordway Treasurer	0	0
Jeffrey C Oltar Trustee	0	500
Terence M Scott Trustee	0	500
Sean C Walker Trustee	0	500
Thomas M Twist Jr Trustee	0	500
Ronald R Pendleton Trustee	0	500
Jason Frahm Trustee	0	500

Yes

Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................

Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..

49a

Did the organization make any transfers to an exempt non-charitable related organization?......

49a

If "Yes," was the related organization a section 527 organization?................

49b

Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and title of each employee	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
NONE

Total number of other employees paid over $100,000 ............. bullet

Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and business address of each independent contractor	(b) Type of service	(c) Compensation
NONE

Return Reference	Explanation
Other Revenue.1	Gross Insurance Money $55865
Other Expenses.1	Assessment Withheld $29050
Other Expenses.2	Local Relief Payments $13750
Other Expenses.3	State Convention Expenses $8263
Other Expenses.4	Mutual Fund Svc Fees $100
Other Expenses.5	NJ Annual Report Fee $26

Return Reference

Explanation

Other Revenue.1

Gross Insurance Money $55865

Other Expenses.1

Assessment Withheld $29050

Other Expenses.2

Local Relief Payments $13750

Other Expenses.3

State Convention Expenses $8263

Other Expenses.4

Mutual Fund Svc Fees $100

Other Expenses.5

NJ Annual Report Fee $26

1	Contributions, gifts, grants, and similar amounts received ....................	1
2	Program service revenue including government fees and contracts ................	2
3	Membership dues and assessments .............................	3
4	Investment income ....................................	4	3,560
5a	Gross amount from sale of assets other than inventory .......	5a
b	Less: cost or other basis and sales expenses ............	5b	0
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a
b	Gross income from fundraising events (not including $ of contributions from fundraising events reported on line 1) (attach Schedule G if the			sum of such gross income and contributions exceeds $15,000) ..	6b	0
c	Less: direct expenses from gaming and fundraising events ...	6c	0
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d
7a	Gross sales of inventory, less returns and allowances ......	7a
b	Less: cost of goods sold .............	7b	0
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c
8	Other revenue (describe in Schedule O) ....................	8	55,865
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............	9	59,425

10	Grants and similar amounts paid (list in Schedule O) ................	10
11	Benefits paid to or for members ......................	11
12	Salaries, other compensation, and employee benefits ................	12	7,045
13	Professional fees and other payments to independent contractors ............	13
14	Occupancy, rent, utilities, and maintenance ...................	14
15	Printing, publications, postage, and shipping ...................	15
16	Other expenses (describe in Schedule O) ...................	16	51,189
17	Total expenses. Add lines 10 through 16 .................	17	58,234

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	1,191
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) .................	19	224,039
20	Other changes in net assets or fund balances (explain in Schedule O) ...........	20	8,339
21	Net assets or fund balances at end of year. Combine lines 18 through 20 ..........	21	233,569

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Software ID:	19009920
Software Version:	2019v5.0